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Muster List

The document is an IMO General Declaration form providing information about the M.T. Pacific Gray tanker arriving in Cebu, Philippines from Mailiao, Taiwan. It lists the ship's details like name, IMO number, flag state of Panama. It also provides information on ports of call, cargo of 10,000 MT of ULSD fuel, crew of 10 members and no passengers. No remarks or special waste reception facilities are required.

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Josh Khylle Reoma
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244 views2 pages

Muster List

The document is an IMO General Declaration form providing information about the M.T. Pacific Gray tanker arriving in Cebu, Philippines from Mailiao, Taiwan. It lists the ship's details like name, IMO number, flag state of Panama. It also provides information on ports of call, cargo of 10,000 MT of ULSD fuel, crew of 10 members and no passengers. No remarks or special waste reception facilities are required.

Uploaded by

Josh Khylle Reoma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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IMO GENERAL DECLARATION

(IMO FAL Form 1)

/ Arrival Departure
1.1 Name and type of ship: M.T. PACIFIC GRAY TANKER 1.2 IMO number:
9613616

1.3 Call sign : 3FVO6 1.4 Voyage number:


01/19
2. Port of arrival/departure: Cebu, Philippines/Mailiao, 3. Date and time of arrival/departure: 01/01/2019 –
Taiwan 0100H

4. Flag State of ship: 5.Name of master : 6. Last port of call/Next port of call : Mailiao,
Panama Demyanovsky, Greg Taiwan/Cebu, Philippines

7. Certificate of registry (Port; date; number) 8. Name and contact details of ship’s agent:
Panama; 25/12/18; 1234 TBA
9. Gross tonnage: 10. Net tonnage:
7,271 MT 3,740 MT

11. Brief particulars of voyage (previous and subsequent ports of call; underline where remaining cargo will be
discharged)
Maptaphut, Thailand

12. Brief description of the cargo


ULSD – 10,000 MT

13. Number of crew: 14.Number of 15. Remarks


10 passengers NIL
NIL
Attached documents
(indicate number of copies)
16. Cargo Declaration 17. Ship’s Stores
Declaration
18. Crew List 19. Passenger List 20. The ship’s requirements in terms of waste and
 Cpt. Demyanovsky, Greg  None residue reception facilities
 C/O Kosaruv, Sergei
 2/M Ramos, John Brian
 C/E Kupyanskiy Anton
 2/E Morante, Edward
 3/E Camay, Arvic
 Bosun Cahigus, Elmer
 AB Alano, Harris
 Motorman Abul, Khair
 Chief Cook Nunez, Santy
21. Crew’s Effects Declaration (only 22. Maritime
on arrival) Declaration of
Health (only on
arrival)
23. Date and signature by master, authorized agent or officer

For official use

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